Individual
MELANI SIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
656 KIMBERLY DR, HENDERSON, TN 38340-2007
(731) 989-5180
(731) 989-5182
Mailing address
656 KIMBERLY DR, HENDERSON, TN 38340-2007
(731) 989-5180
(731) 989-5182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
121210
TN
363L00000X
Nurse Practitioner
Primary
22406
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121210
RN
TN
Enumeration date
02/02/2017
Last updated
07/10/2026
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